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General NPI Number Information
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NPI Number | 1235633488
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Entity Type | Individual
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Provider Name | ANA LAURA LEYVA ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 16010 OLD 41 N UNIT 102
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City | NAPLES
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State | FL
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Zip | 34110
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Country | US
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Telephone | 239-789-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 3544 FORT SIMMONS AVE
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City | FORT DENAUD
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State | FL
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Zip | 33935-6309
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Country | US
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Telephone | 239-867-8426
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9303383
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License Number State | FL
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